1615 E Park Ter (vault) CITY OF ATLANTIC BEACH
.. 800 SENIINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 07-00000088 Date 2/12/07
Property Address . . . . . . 1615 E PARK TER
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-----------------------------------------------------------------------
Application desc
bell south switch cabinet
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
QUINTUS, JOHN CARROLL ELECTRIC CO, INC.
1615 PARK TERRACE EAST 9225 HAYDEN ROAD
(Bell South construction) JACKSONVILLE FL 32218
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/11/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERNHT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC,ANTIC REACH
ELECT CA;.L PEF l T PPI.,-CATION
Date: - -
Property Address; lr 12C'i C�►IN� �r r �G '�ih'
Owner. Bellsouth Construction Telephone
Contractor: Carroll Electric Co. , Inc. Telephone#: 757-4162
Contractor Address.. 9225 Hayden Road Fax#: 757-4767
In consideration of permit givens for doing the work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
otdrtance and standards ofgood practice listed therein.
Building.-. Building Type:-- 0 Trailer_ Service: If .other construction is
bX New D Residence D Temp. tg New being done on this building
Ci Old CK Commercial 0 Signs D Increase permanumberbuildtng
Cl Re-wire O Addition Sq.Ft. ® Repair
Conductor Size: AMPS: 01D COPPERElALLTrvIINUM
Switch or RACE
Breaker AMPS !IDID PH W VOLT �� WAY
Existing Service RACE
Size AMPS PH W VOLT WAY
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED OPEN
Receptacles CONCEALED OPEN
Switches
Incandescent
Fluorescent 8c
M.V.
Fixed 0.100 MM OVER BELL
A liances TRANSFER-
Air
RANSFERAir RP.R.ATING H.P.RATR G CEILING IOW-HEAT
Conditioning COMP.MOTOR. OTHER MOTORS AMPS HEAT
Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS
oVElt600V
Transformers NO. KVA NO. KVA
No.Neon Traus£
Ea. Sign_
Miscellaneous ki
800 Seminole Road.Atinnfi c Beach,Florida 32233-5445
Phone:(904)247-5888. Fax: (904)257-5845 m http-://www.cL2tlantic-beach.fLus
Feb 07 07 11;50p Carroll Electric Company (904) 757-4767 p.2
GtCi�O tic;Q aF r✓� �"�.,t.7 v , jr k�.;T_
CITY OF A1 BI ACE
ICATION
Property Address: ' r e� G!►t��- JTY �G ' I��
Owner: Bellsouth Construction " Telephone 3 r 4f 9 �j
Contractor. Carroll Electric Co, , Inc. Tekphone#= 757-4162
Contractor Address: 9225 Hayden Road Fgm#: 757-4767
In eonsideraaon of permit r}''+en for doing the mrork as desame'd in the above sta==L we hereby egret m ped brm said wort,in
tceocdat=with the attached pleas and specifications whicth arc a part hereof and in accom%nro witty the City of Atlantic Ecach
a4vant a and stendands of �ce listed therein.
_Hnilditrrg__. ._ . BnildiagTyprr:" O. Trailer_. Servie>G f- If .ehdher eoostrucdon i8
IX New Q Residence 0 Temp. CX New �S done an this building
orsite,liar the buuding
a Old GX Ctxamerciai O Signs n Iacreaso Permit nuviber
O Ra-wire u Addition Sq.FL Ct Repair
Coadnctor Sin~ AMPS.' ob COPPED. R�T3iviII1[JP.r
Sv4tch orRACE ie
Breaker AMPS i-OD ?I., { W VOLT �MO WAY .
Bxiating Service RACE
Size AMPS PH W VOLT WAY
i
Feeders: NO. SIZE I NO SIZE INTO S=
" Lighting Outlets
CONCEALED OPEN
Receptacles CONCEALEDQ IQ AMP-
On lr
Switches
Inewdescent
Fluorescent dt
Ntv_
Fixed 0108&W__s oz BELL
Appusuces TRANSFER.
Air RP.8A17NG I?P.RATZTG CEILING IGWI_AT
Conditioning COMP_MOTOR OTHER IAOT Or, AMPS HEAT
Motors 0-1 ILP. VOLTAGE PH I NO. OVER 1 H.P. PHS
6 l 0J
Traasfonma NO. isSrtl i NO. RVA
NoNeon Trans£
Ea. Si _ '
Miacellaaeoas his Ck kdsaAisA-
8110 Setuinc4r R=d a i�. t aaic Banc::, Uvida 32.233-5445
Phone:(994)249-5890. Fa;: (90-1)U7-5W,:5- beep.-#w%vw ctmwantl*4mzcb s.+n
Feb 07 07 12:34p Carroll Electric Company (904) 757-4767 p•2
w ,i:% F
CITY F .� =.4 'IC $E.A.CH
j ELEC`_++ ►C ' r err :;� �, +�
^� '.�..,ICATICr
—
!t r
Date:
Property Address: R1
Owner. Bellsouth Construction ' 'Telephone
Contractor: Carroll Electric Co. , Inc. Telephone#: 757-4152
Contractor Address: 9225 Hayden Road Fax#: 757-4767
Tim consideration of permit Elven Jbr doing the work as described in the above smteroan4 we hereby agree to perform said v.otft in
aeoordanee wild the attached plans and specifications which are a pact hraeof and in aonordaax with t1w City of Atlantic Bcoch
oed aance Bad staudetds ofaxid Z§g§ge listed iherein.
BniidngTyp=.. D_ Trailer.. Service: If .odwr coashucdon is
[llNew Q Residence O Temp. CX New beft done on this building
•a Old CK Commercial 0 Signs O Or sire,list the buildinr.Increase 1'amitmmt+er:
a Re-wire D Addki on Sq.F+. [] Repair
Conductor Size: AMPS: I CID COPPER 0 &- ivYI ml
Switch or RAC"
Breaker
�
Breaker ABAPS 'O PH ( W VOLT p�u0 WAY
Existing Service RACE
Size AAIPS PH W VOLT WAY
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED OPEN
Rwxptacles CONCEALED i OREM
0141 AMES, i
Switches
Incandescent
Fluorescent d:
M.V.
Fixed WON M606 Q25L BELL
Apvrnncw TRANSFER.
Air HY.RATING MP.RAT INC CEU ING XW-I3Er,T
Condit- COMP.MOTOR OTHER MO,W. I A-SIPS HEAT
Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS
I
1Wal��Rv. o v
Traasfotmecs NO. t VA NO. KVA
No.Neoa_Traas£
Es. Siva
Miscellaneous t �-
800 Seminole Ron]a At1lr i;g F--=h,.77or3de 32233-544
PLonw(984)247-5800. Vr= (9-243)2747-534-3 o b%W.lwraw.cl.ad andc4msch.Mus
Feb 07 07 12:33p Carroll Electric Company (904) 757-4767 p.1
CAMOLL ELECTRIC COMPANY
(904)757-4162
(904) 757-4767 FAX
DATE: d -' 7 - 07
FROM: I y r 1
TO: ODe,rk-c P)
zmag,�L—�slh�iv- I�Ie\- �
PAGES(including cover): A
FAX 0: a L7" 1:54Y5-
Ra � , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 07-00000094 Date 2/08/07
Property Address . . . . . . 1615 E PARK TER
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
NEW SERVICE BELLSOUTH SWITCH CABINET
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CARROLL ELECTRIC CO, INC.
9225 HAYDEN ROAD
JACKSONVILLE FL 32218
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 2/08/07 Valuation . . . . 0
Expiration Date . . 8/07/07
----------------------------------------------------------------------------
Special Notes and Comments
BELLSOUTH SWITCH CABINET
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUII ING CODES.
S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
!:> 5 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
J r319
Application Number . . . . . 08-00001569 Date 11/20/08
Property Address . . . . . . 1615 E PARK TER
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
telephone cable
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
QUINTUS, JOHN BELL SOUTH TELECOMMUNICATIONS
1615 PARK TERRACE EAST PER M GRIFFIN 5/15/08 NO
ATLANTIC BEACH FL 32233 LIC INSURANCE REQUIRED
ATLANTIC BEACH FL 32233
(904) 256-3182
----------------------- -----------------------------------------------------
Permit . . . . . . UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 11/20/08 Valuation . . . . 0
Expiration Date . . 11/20/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach *,. APPLICATION NUMBER
fy� Building Department ',; (To be assigned by the Building Department.)
` 800 Seminole Road `f.
r� Atlantic Beach, Florida 32233-5445 '�Qf !
Phone(904)247-5826 • Fax(904)2 P45 `
E-mail: building-dept@coab.us �IQg Date routed:
City web-site: http://www.coab.us �~
f
t
APPLICATION REVIEW AND TRACKING FORM
Property Address: � fo K r Department review required Yes No
Building
PI
Applicant: Public Works
P
/ _
Public.Utilities
Project: � ahn, Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: �Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING � p
Reviewed by: ��� �►✓ Date:
PUBLIC WORKS
PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied.
Comments:
PUBLIC SAFETY
FIRE SERVICES
Reviewed by: Date:
Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Public Works Pian Review Comments
Date: I �Q (�� Initials: �Y14-0s K `
"cs
1 —
Project Name/.Address: Application Permit#: O b i 5 29
�p� lics ion TrHaekigg omments. Ft'6
Provide impervious surface calculations. ❑
Provide erosion and sediment control plans with installation details and maintenance ❑
schedule.
Provide drainage plans showing site topography (flow arrows, etc.) ❑
Provide construction site management plan, including Right-of-Way Permit if using ❑
right-of-way for construction parldng.
Provide a pre-construction topographic survey prepared by a Florida Licensed ❑
Professional Land Surveyor, showing 1' contours.
Section 24-66(b) of the Land Development Regulations requires on-site storage for
increased runoff. Provide Delta volume calculations and on-site retention required ❑
per Section 24-66(b). (See attached info. Sheet)
If on-site storage is required, a post construction topographic survey documenting 13proper construction will be required.
A Right-of-Way Permit must be obtained for use ❑
A Revocable Encroachment Permit must be obtained. ❑
Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑
street or drainage feature (swale, structure or lagoon).
All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from
the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑
allowed in the ROW Commercial driveways—6"thick).
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and
must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑
shown on the plans.
Roll off container company must be on City approved list and cannot be placed on
City right-of-way. ❑
D
CITY OF ATLANTIC BEACH
r CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
b 800 Seminole Road 904-247-5800
Atlantic Beach, Florida 32233-5445 Fax 904-247-5845
Date 9 AVA <d PERMIT# -
'Wl ISSUED BY THE CITY
Job Address G
Permitee: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-777-9052 EXT 233
Permittee Address: 7666 BLANDING BLVD., JACKSONVILLE FL. 32244 ATTN: ANGELA LINDSEY
Requesting Permission to Construct: TELEPHONE CABLE g (n'21C)
Location: (Reference to Cross-Street) Between
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes (X) No ( ) Date: l l l)ql O$
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas Yes (X) No ( ) Date: t It I l DOES
Comcast Yes (X) No ( ) Date: V1114108
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent)
located at Telephone#: 904-393-4958.
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications
and the manner satisfactory to the city.
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall.be made a
part of this permit
7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is.
more than 60 days from date of permit approval, then permittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER
L-�
Signed: Date:
Before me this day of eQm ' 7 in the County of Duval, d'� M.Alexandra Solano
State Of Florida,has personally appeared - t-" ._Commission#D0470953
Notary Public at Large,State of Florida,County o Duval. o� Expires September 12,2009
My commission expires:� e IQ, 'F r•• o p
Personally Known: or .F Bonded Troy Fain-Inwran e.lnc 80M985-7Q19
Produced Identification:
R1&1 PROPOSES 10 PLACER 4' H i
BETWEEN AN I 1 CROSS CONNf
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A T TSE
N[l PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
CITY OF k't BEACH
1615 E PARK TER
Exchange:
JAX BEACH
Designer=
Lllley.James
Phone:
904-727-1558
Authorization:
83E68105N
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PROPOSED TELEPHONE FACILITIES
ON RIGHT OF WAY OF
CITY OF JAX BEACH
1615 E PARK TER
u
Exchange:
JAX BEACH
Designer:
a
Lllley.James
w0 Phone: 904-727-1558
I I Authorization:
83E68105N
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77-7
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
± :5 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001569 Date 11/20/08
Property Address . . . . . . 1615 E PARK TER
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
telephone cable
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
QUINTUS, JOHN BELL SOUTH TELECOMMUNICATIONS
1615 PARK TERRACE EAST PER M GRIFFIN 5/15/08 NO
ATLANTIC BEACH FL 32233 LIC INSURANCE REQUIRED
ATLANTIC BEACH FL 32233
(904) 256-3182
----------------------------------------------------------------------------
Permit . . . . . . UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 11/20/08 Valuation . . . . 0
Expiration Date . . 11/20/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
JCA
fli - CITY OF ATLANTIC BEACH
-a s� 800 SENIINOLE ROAD
1;—
= ATLANTIC BEACH,FL 32233
�r INSPECTION PHONE LINE 247-5826
Application Number 06-00033688 Date 8/24/06
Property Address . ! . 1615 E PARK TER
Application type description RIGHT OF WAY PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
INSTALL TELEPHONE CABLE
---------------------------------------------------- ------------------------
Owner Contractor
------------------------ ------------------------
QUINTUS, JOHN BELL SOUTH TELECOMMUNICATIONS
1615 PARK TERRACE EAST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
----------------------------------------------- -----------------------------
Permit UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . 8/24/06 Valuation . . . . 0
Expiration Date 8/24/06
------------------------ ---------------------------------------------------
Fee summary gharged Paid Credited Due
--------------- --------- ---------- ---------- ----------
Permit Fee Total y . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORWA
BUILDING CODES.
�. CR�-E
s
CITY OF ATLANTIC BEACH Q E"V-NU T
PLAN REVIEW SHEET Routed to:
S.Makowski
Building Department Public Works&Public Utilities Departments L. Higgins
800 Seminole Road 1200 Sandpiper Lane
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233
(904)247-5800 (904)247-5834 Kaluzniak
(904)247-5845 Fax (904)247-5843 Fax Public a ety
PLAN REVIEW COMMENTS
Permit Application# u Q' e)5—
Property
Property Address: t(a� Pff K T-m UI,(PLJ
Applicant: Of t I�Ll k —W,�c co M NWAl C a7k ".12)�
Project: ��n��-a I T�i�,o Igo OLD I�
This permit application has been:
Approved as noted by the r Department.
Final application approval musti-conde from the Building Department.
Reviewed and the following items need attention:
�c ,4-4, -n.� P4FA�(T I Zefk1Z
G
Please re-submit your application when these items have been completed.
Reviewed By: 4Date: '(X-
Date Contractor Notified: -9'1
�3�—/773
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COV CLUB
a D� 'i 1585 310
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1580 1464
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CITY OF ATLANTIC BEACH
isS
f PLAN REVIEW SHEET
Routed to:
S.Makowski
Building Department Public Works&Public Utilities Departments L.Higgins
800 Seminole Road 1200 Sandpiper Lane
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233
(904)247-5800 (904)247-5834 �Kaluzniak
(904)247-5845 Fax (904)247-5843 Fax Public Safety
PLAN REVIEW COMMENTS p�t
Permit Application# -U Q 51!91,21(p
Z�U_
Property Address: ( 16 Pof K T-1 f CLO�/
Applicant: '/t
Project: � � � 1 1 1 �T Vi COJO
This permit application has been:
Approved as noted b the Department.
Pp Y Fad
Final application approvalMmust come from the Building Department.
Protect drainage pipes on Country_ Club Lane.
Please re-submitour lication when these items have been completed.
Reviewed By: Fl
Date: V(Q
Date Contractor Notified: ra -3 1-773
Permitee: BELLSOUTH TELECOMMUNICATIONS i eieptrone tp v%pt-von i w v
Permittee Address: 11AA1 301 W. BAY ST., JACKSONVILLE FL. 32202 `AT�TN:ANGELA HERRON r�
Requesting Permission to Construct: TELEPHONE CABLE Zy �l[ )b *� FLA-54 �S
Location: Reference to Cross-Street Between ( T
1. Applicant declares that prior to filing this application he has ascertained the location of all fisting utilities,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following UtilitiesJMunicipalities:
Jacksonville Electric Authority Yes(X) No ( ) Date: % a
Bell South Telephone Company Yes( ) No ( ) Date:
Ferrell Gas Yes(X) No ( ) Date: l
Comcast Yes(X) No ( ) Date: WI g 1 Nn
;Iytirl;,�„ CITY OF ATLANTIC BEACH
r -• CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
V 800 Seminole Road 904-247-5800
"-u'g Atlantic Beach,Florida 32233-5445 Fax 904247-5845
Date
} , p PERMIT# '
Job Address �� � � CPJ � �. ISSUED BY THE CITY
Permiee: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-6341661
Permittee Address: 11AA1, 301 W. BAY ST., JACKSONVILLE, FL. 32202 ATTN:ANGELA HERR�ON1
Requesting Permission to Construct: TELEPHONE CABLE ZE T t`Ilio � F�-%..9r4
Location: (Reference to Cross-Street) Between V1v��._l' elf 1 •�(1 O��Yl� C �n Ln
1. Applicant declares that prior to filing this application he has ascertained the location of a fisting util'lties,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes(X) No ( ) Date:
Bell South Telephone Company Yes( ) No ( ) Date:
Ferrell Gas Yes(X) No ( ) Date: 5tj 1
Comcast Yes(X) No ( ) Date: 1_g II
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent)
located at Telephone#: 904393-4958.
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications
and the manner satisfactory to the city.
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a
part of this permit
7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is
more than 60 days from date of permit approval, then permittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER
Signed:
Before me the day � in the unty of Duval
State Of Florida,has personally appeared i\
Notary Public at Large,State of Flgrida,County^of Duval.
My commission expires: frac' 22,"W
Personally Known: or ,`kvYa,,4JI.I.CRUZ
Produced Identification:IkPL P6
°`'•VNotmypubpo-8181e d i=torlde
Conmisgon Exon Mar2Z 2009
CommbsionOOD4/0139
Bonded By Natior�el Awn.
CITY OF ATLANTIC BEACH
J ' CONSTRUCTION_ PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
Ram
904-247-5800
800 Seminole Road
-to)it 9 Atlantic Beach,Florida 322333-5445 Fax 904-247-5845
Date 0 PERMIT#
I ISSUED BY THE CITY
Job Address�� � `e r'�e-e, �`-
Permitee: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-6341661
Permittee Address: 11AA1 301 W. BAY ST., JACKSONVILLE FL. 32202 ATTN: ANGELAAHERRON
Requesting Permission to Construct: TELEPHONE CABLE `�l-Ao � I � "
Location: (Reference to Cross-Street) Between sdv , ly7br--'- OW2" 6 Ln
1. Applicant declares that prior to filing this application he has ascertained the location of ah-e.cisting utilities,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes (X) No ( ) Date: c�0W
Bell South Telephone Company Yes( ) No ( ) Date:
Ferrell Gas Yes(X) No ( ) Date: I
Comcast Yes(X) No ( ) Date: I Q I
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent)
located at Telephone#: 904-393-4958.
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications
and the manner satisfactory to the city.
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a
part of this permit
7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is
more than 60 days from date of permit approval, then permittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER r'
Signed:
Before me this day C unty of Duval
State Of Florida,has personally appeared W t\
Notary Public at Large,State of F�l9Qn,da,Countyof Duval.
My commission expires: ShQ`C:r�22. r?d
Personally Known: or `k° ^�?� JILLCRUZ
Produced Identification: �( _ i_ A I�Z1- -<I ,,:�, �� Notary'Pubtic-Stab of Florlda
•jMy Commission Expires Mar 22.2009
R =;;3,� Conwnbsion#DD 410139
'"too" `° HorWed By Natlorial=
Am.
P6fl13,227
a {
' DEPARTMENT OF SWLD1NG {
CITY OF ATLANTIC B940H
1(. _ ..
PimI" INFORMATION
R rs numb r; "XAddress: �B i
tpermit Ty a»MECHANICAL A')���.N�' C BEACH,, F , IR.I 3A
_-„w ,; .
C f' »AS 'A`RA'I`IOR • �LXGAL 'OESC I PT T OH.. .
�tsn r. Ty a:WOOD FRAIL �I�1�ck; bot: T��» 0 .
rip�� d �T' :SIIVOI;E FAI!I,I) Y. Sctiss '» Q Subd'» RIc :
C Subdiv :ei:on»S LVA NARINA
Est Viral 0".OO s �
;)mprov, co t RgL Q !
T� � a, ." 37 .00.` k
Amcaun 37 .00 I
; Datjq, 9
t
M ANLL AIR H NDLER
low y�
7r, AP
�'� ...�rrswr.'w >e:+ ...haw' . ......,�«,,. ,1"i
s
mmir
A dr CE EAST �.
81 H, PLOR C2 dti!
k 0 r i
A - ------
dr: 10719, I , '. TREET 1OUT11
" -BEACH, FL 32250
eww
"ib }u4
NOTICE'--ALL CONCIAETE PORMSSAko FOOTtuas MUST" At,
I, PERMIT VOID SIX MONTHS AFTERi'DATE OF ISSUE
o
I,
il01NG MATERtAI,RUBBISH AND'DEBOIS FROM THIS WORK MUST NOT.$E PLACED hP1 PUBLIC SPACEiAND'M ST BE
C EARED UP A40 HAULED AWAY BY FiTRIi*F'CONTRACTOR OR OWNER
1�. P� �'.�•E :H/� � V LIE, LAW 0,A 'R
PO RTY +C W Ef°PAYING TWICE P � 1lLOING IMP1
UI; ►ACCOR�i Q TO AR'PROVEfl:PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TGw► f
LA1iON or
AP L lCABLE PROVISIONS OF LAW.
ATtNTIC BEACM.B iLt�fNCi'DEPARTMENT188�11
�. j {
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 82288
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
LOCATION Street Address:
OF Intersecting Streets: Between And
BUILDING
Sub-division
11. IDENTIFICATION — To be completed by all applicants ,
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) Master S✓3S
Name of
Property Owner �� ✓�. S
Signature of Owner Signature of
or Authorised Agent r Architect or Engineer
1111. GENERAL I RMATI
A, Type of heating fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON
Electric THIS BUILDING OR SITE?
❑ Gat—❑ LP ❑ Natural �r Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. MIICHANICAL EQUIPMENT TO RE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) 7 Residential or ❑ Commercial
Heat ❑ Space ❑ Recessed 15- Central O Roor ❑ New Building
Air Conditioning: ❑ Room P Central 1q- Existing Building
❑ Duct System: Material Thickness *5� Replacement of existing system
Maximum capacity c.f.m. El New installation(No system previously Installed)
❑ Refrigeration O Extension or add-on to existing system
❑ Cooling tower: Capacity g p.m. ❑ Other — Specify
❑ Fra sprinklers: Number of heads_
Q Elevator ❑ Monlift ❑ Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
❑ . Gasoline pumps (number) (fid)
Q. Tank, (number) Remarks
❑ LPG containers (number)
❑ unfired pressure vessel
❑ sailers Permit Approved by Date
Q Other — Specify Permit No
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Capacity
A4
Number Units Description Model Number Manufacturer (�) y
DATING - FURNACES, BOILERS, FIREPLACES
Capacity AVMVft
Number Vail Description Model Number ][aautarturer (BTU)
TANKS
Now Many NoIXInal Capacity Type Liquid Nano of Serial Approving
and Dimensions Contained Ma>a iftettwer No. _Agency
1
DEPARTM1M' OP BUILDING
FOR OFFICE -092 GNL'
CITY OF ASIC BEACH,. 'I,C R 1�a e' " .., }►
#!Fee"S
I Applicakt�.d .fop Permit for
valuation
Miscellany$ Alterations HOU$E f
aire #5
(Statelif to repairs ;alter, add to ar '"move building, erect,,"a0, gac',
' sigma# etc. }
Building n: Lot No,* lk No. Sub.Div. oip
Address '` Valuation '
Ad?.
BUILDINGS AMCCUPANCY
;BuildixagIse- - 'Ree3dentlal or Business
what P1 ing wsa�rk tc� cone?
r 8fa:e c f �esent Dlt g. i ` " Size of Extension Lot SiAo< _`
of ssti ;x € `after alter ateial Of Raaf
Materia: V osent -8u :ldin MaterI4l of Extensisan
l8 EARY; P TO TN
l atwaR OR GASotins U FMEN .
.H of-: O 1 Burner or ne Pump Type or model
N $�+es�s� o� t�faoturer
Irk "c ra r�ec: ori` ez�.t application is also , ►de to instakllr
F�val. capa., its tank s}
!ga�OUOd. (Name, of Manufacturer}
.". tf 4f; building For,
L"1410:'�0r,; s e arae o asst
.4 IrU S SHOWING ENyTy[IRE LA OUT ON "RE`ERS$ tIb OF
fTkiZS T -. 1
Sis.e t Classificatiari "
Mtate Whe r. r ora #" Wa r, pl`
fKaterial f" C.onstr�ct3:on
Zll�.nat" 7 ,.,.. ; � of iliumins�tion ."
ee er sa or n "
Niil signs be Ov+e�r Public, proper(
SU N I G CON'S!l'RUT R MET ` :AGI -
. . _
I' :ApDi 'ICEALy I)w# ON
(Far a vas awrxirtgsa . nide dimensi"on do}
tS 14
k"I1 PQR" 'C
in eaeidstidn of perm#.t° 'iv+en for coi ►g-the wmrk ::4! c ibed
. .n s, ',W wa4.hereby agree 't4 peforn said tk , .r ° y
,"
oco d$n w#t die attached glans an 'e cifications., w�ice^ .. e "
oar( A or is o dar�ee+ riti the # ilt i g '` eg latf aria
City oaf , 1ant c Semi, (Southerri4 Standard rd Suii.i ing Code:}
1 S1onature €� i ld or. 6wt war A
i.Addres one NCf.
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6
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ANK
t
FHA Form 2005 •y For accurate register of carbon copies, form Form approved.
VA Form VB4-1852 may be separated along above fold. Staple Budget Bureau No. 63-R055.17.
Rev. Sept. 1964 completed sheets together in original order.
❑ Proposed Construction DESCRIPTION OF MATERIALS No.
(To be inserted by FHA or VA)
❑ Under Construction
Property address 0 w.* City State 'I.f1'1,ja3a
Mortgagor or Sponsor m a4 r i a. ,,ad ui vei Ye aaggt&'Iiu4 i.� vatwo d jibx keactt, flar't a
(Name) (Address)
Contractor or Builder ;IIffp d J. Cut-r oo ttxwt► Ade jacg oriviii o i
(Name) (Address)
INSTRUCTIONS
1. For additional information on how this form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding
of copies, etc., see the instructions applicable to the FHA Application for minimum requirements cannot be considered unless specifically described.
Mortgage Insurance or VA Request for Determination of Reasonable Value, as 4. Include no alternates, "or equal" phrases, or contradictory items. (Con-
the case may be. sideration of a request for acceptance of substitute materials or equipment is
2. Describe all materials and equipment to be used, whether or not shown on not thereby precluded.)
the drawings, by marking on X in each appropriate check-box and entering the 5. Include signatures required at the end of this form.
information called for in each space. If space is inadequate, enter "See misc." 6. The construction shall be completed in compliance with the related drawings
and describe under item 27 or on an attached sheet. and specifications,as amended during processing. The specifications include this
3. Work not specifically described or shown will not be considered unless Description of Materials and the applicable Minimum Construction Requirements.
1. EXCAVATION:
Bearing soil, type 'j,and
2. FOUNDATIONS:
Footings: concrete mix � f� * strength psi Reinforcing '`r Qisldl .1141It
Foundation wall: material 4 a 6 A, lea p brick Reinforcing
Interior foundation wall: material At Party foundation wall ' " \rtx
Columns: material and sizes Piers: material and rei}tf gr ilt
Girders: material and sizes Sills: material
k AA3a i
Basement entrance areaway Window areaways
Waterproofing Footing drains r"
Termite protection 6oi �` Irk
Basemendess space: ground cover insulation foundation vents
Special foundations
Additional information:
3. CHIMNEYS: 6ri& teal 404Wd 30" fOr fIi 144,,00
Material VIAPrefabricated(make and size)
Flue lining: material COWHeater flue size Fireplace flue size
Vents (material and site): gas or oil heater water heater
Additional information:
4. FIREPLACES: It in
Type: `solid fuel;-t urning; ❑circulator(n#1 si �+,j� Ll ift dump and clean-out r
Fireplace: facing lining ; hearth ; mantel
Additional information:
5. EXTERIOR WALLS: 2 CCJ"t• t;*dar 1 lb. folt
Wood frame: wool rade, and species Coi
ner bracing. Building paper or felt
r. �
Sheathing thickness width ❑ solid; ❑ spaced " o. c.; ❑ diagonal;
Siding ; grade type size ; exposure '; fastening
Shingles ; grade type ; size ; exposure "; fastening
Stucco* ; thickness Lath 1.4y.4 Air 2i4as; weight lb.
MasonryXveneer Sills Lintels
Masonry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness "; facing thickness "; facing material
Backup material ; thickness "; bonding
Door sills Window sills Lintels
Interior surfaces: dampproofing, coats of furring
Additional information: I;�, , .oadi_,i :pr'uk cover
Exterior painting: materia number of coats.-
Gable
oats.Gable wall construction: ❑ same as main walls; ❑ other construction
6. FLOOR FRAMING: 2A 0 1`#►;ne 4reii.leed '181+1
Joists: wood, grade, and species ; other ; bridging ; anchors
Concrete slab: ❑ basement floor; ❑ first floor; ❑ ground supported; ❑ self-supporting; mix ; thickness
reinforcing insulation ; membr4lIr,I ,jdo C100F 40 ote
Fill under slab:material ; thickness-". Additional information:
7. SUBFLOORING: (Describe utVer o jnV fpr Fjj*%l floors under item 21.)
MaterW: grade and species size type
Laid:
❑ first floor; E] second floor; ❑ attic sq. ft.; ❑ diagonal; ❑ right angles. Additional information:
8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.)
LOCATION ,. RDO D SP , 1�CN WID' BLa. �:P ° ', FINISH
First floor
Second floor
Attic floor sq. ft.
Additional information:
FHA Farm 2005 , DESCRIPTION OF MATERIALS
VA Form V54-1852
21. SPECIAL FLOORS AND WAINSCOT:
LOCATION MATERIAL, COLOR, BORDER, SIZES, GAGE, ETC. THRESHOLD WALL BASE UNDERFLOOR
MATERIAL MATERIA AT RIA .
� Kitchen -A �=:d3i • �"tix43+a� >i�LYrisi r 1";:wz, . �A,
g Bath carr= ,LC file
w
LOCATION MATERIAL, COLOR, BORDER, CAP. SIZES, GAGE, ETC. HEIGHT HEIGHT HEIGHT IN SHOWERS
UOVER TUB FROM FLOOR)
z Bath '
a
3
Bathroom accessories: [I Recessed; material M"4W'J 0-; number 4 ❑Attached; material number
Additional information:
22. PLUMBING:
FIXTURE NUMBER LOCATION MAKE MFR'S FIXTURE IDENTIFICATION NO. SIZE COLOR
Sink xi flo r•. a I'I 4'+ r m ri t 4. ili} co Ir` ?IcIFS t mal to
Lavatory ; Ri, rr:i AW Ni Z.t,C ?4 d; iC r t)'t rely; 00101.
Water closet 2 b&tit dire 1,1 frit► Cade t 7CY04 0 I`
Bathtub A4 th :�;1 a rl can ap LCA• contour 5 6D pr
Shower over tub Dial 56Z dd e
Stall showery '24#:ter rm, iaL ot T Q
Laundry trays •
2f❑ AF-1 rod ADoor ElShower pan: material
Cosh!()&:,Irioll
Water supply: ['public; ❑ community system; ❑ individual (private) system.*
Sewage disposal: [public; ❑ community system; ❑ individual (private) system.*
*Show and describe individual system in complete detail in separate drawings and specocations according to requirements. � Sa.ag+rburg
House drain (inside): ❑#cast iron; E�tile; ❑ other House sewer (outside): ❑ cast iron; ❑ tile; `other
Water piping: [X galvanized steel; M coper tubing; E] other Sill cocks, number }-
Domestic water heater: typeric ; make and model ; heating capacity
i++34tie eleaeut gph. 100° rise. Storage tank: material ; capacity gallons.
Gas service: ❑ utility company; ❑ liq. pet. gas; ❑ other Gas piping: ❑ cooking; ❑ house heating.
Footing drains connected to: ❑ storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump; make and model
capacity ; discharges into
23. HEATING:
❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑`Two-pipe system.
❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model
Radiant panel: ❑ floor; ❑ wall; ❑ ceiling. Panel coil: material
❑ Circulator. ❑Return pump. Make and model ; capacity gpm.
Boiler: make and model Output Btuh.; net rating Btuh.
Additional information:
Warm air: Gravity. o Tnik stem
Duct material: supply retgrn ` # nsul 'on thickness ❑ Outside air intake.
Furnace: make and model-, ut Btu? o�utut Btuh,
Additional information: ` £
IV
❑ Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.; output Btuh.; number units
Make, model Vdili> I�ation:
Controls: make and types
Additional information:
• a C
Fuel: ❑ Coal; E] oil; E] gas; ❑ liq. pet. gas; E] electric; El other ; storage capacity
Additional information:
Firing equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑; bin feed ❑
Oil burner: ❑ pressure atomizing; ❑ vaporizing
Make and model Control
Additional information:
Electric heating system: type Input watts; @ volts; output Btuh.
Additional information:
Ventilating equipment: attic fan, make and model ^; capacity c&n.
kitchen exhaust fan, make and model
Other heating, ventilating, or cooling equipment
24. ELECTRIC WIRING: X a. 20
Service: ❑ overhead; ❑ underground. E,anel: ❑ fuse box; ❑ circuit-breaker; make Number circuits
Wiring: ❑ condu' • ❑ ar red cable; ❑+nonmetallic VW7 44 cLr�'�ar*,,I �o*,d VL rtop
Special outlets: [range; [water heater; ❑ other zia c �ir—+ # + hllf#
Doorbell. ❑ Chimes. Push-button locations Additional information:
25. LIGHTING FIXTURES: as I"eq, 1510.010
Total number of fixtures Q63t .. 1jpw� xt i t y is t to l tt fi f 1«`wi t ti back.
Nontypical installation
Additional information:
3 DESCRIPTION OF MATERIALS
Part of Government I.ot Six (6) , Section Nine (9) , Township 2 South, Range
29 East , more particularly described as follows:
Beginning at the Northwest corner of Lot One (1) , Block Five (5) , Selva
Marina No. 2, according to a plat thereof recorded in flat Rook 27, pages 6 and
6A, current public records of Duval County, Florida, said Northwest corner being
located at a point in the section line common to Sections Nine (9) and Sixteen
(16) , Township 2 South, Range 29 East, said section line being also the South
boundary line of said Gove raiment Lot Six (6) ; thence from said point of beginning,
run North 89° 20' 10" Fast along said South boundary line of Government Lot Six
(6) a distance of' One Hundred Thirty (130) feet to a point ; thence run North
0° 39' SO" hest a distance of One Hundred Fifty (ISO) feet to a point; thence
run South 89° 20' 10" West Ninety (90) feet to a point of curve; thence run
along an arc of a curve an arc distance of Sixty two and eighty three hundredth
(62.83) feet, said curve being concave to the left having a radius of Forty (40)
feet, a central angle of 900 , a cord bearing of South 44° 201 10" West and a
cord distance of Fifty six and fifty seven hundredths (56.57) feet, to a point
of tangent; thence run South 00 39' SO" East One Hundred Ten (110) feet to the
point or place of beginning; containing 0.44 acres, more or less;
TRXIETIiER WITIi an easement for ingress and egress to and from the land being
hereby conveyed, which easement shall be appurtenant to all of the land being
hereby conveyed, but shall be non-exclusive and shall be used in common with said
parties of the first part, its successors and assigns, which easement shall be
over and upon a strip of land Sixty (60) feet in width adjoining and adjacent to
the Westerly and Northerly bouindary lines of the land hereby conveyed; PROVIDED,
HOWEVER, that said paxties of the first part reserve the right to include and
show the land hereby conveyed and the Sixty (60) foot easement as a part of a
subdivision plat to be prepared and recorded in the public records of Duval County,
Florida, all with full right exclusively reserved to parties of the first part to
make and execute the dedication of said Sixty (60) foot easement to the public in
the usual form then required for recording plats.
FOR OFFICE Urr�SE ONLY
Date./.-2 -I�f\........19 4/
Permit #..<..��_�..Fee
CITY OF ATLANTIC BEACH Valuation $---/ ,. -�'
FLORIDA House .#.1.......-/--5- ......'.....--J...._".... -
IPPLICATION FOR BUILDING PERMIT
------------------------------------------------•-------------------.....-I-
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Date....ov .....-Id---•--•-----•--•-------------------' 19Aa---
---Telephone
_.--Telephone No-------------------..........
Architect------•--•--------•-�--------------•-•-------........----------------------------------------Address------------------------------------------------------------Telephone No................ ----- -
Contractor .--•---------------•----Address/W1
. A ......1 /.X---------Telephone No-------------------
Lot No.4'647.Xe-----------------------------Block No-------------------------------Sub Divisiontf /,0A. .J*.....-:-------------------------•--------------Zone..------- -
f ' -----,E. 7
��pp _. Street.�.9.tr�'------'Side i�en.�dr.�til.TR.�'.� �A---•-----�------��P.�F��-------------•-•-----------�
Valuation $.f�!/�..L......-For what purpose will building be used--4.f /V,. ----.-.-.Type of construction.4/44A 1..� ../,�,�..__-_
Dimensions of Building.__ ,�_�4" y�s��_..._Dimensions of Lot_�,3`D�a,,x/1(l ------- K
Size of Footings. a
Size of Piers_ _ ._...•�.. 111".------Size of Si/li+s....._.X _..___._----Greatest Sill Span in ft...�'................Type Roof.
How will Building be Heated? -------Will Building be on Solid or Filled Ground?__..._----------------..............
Size of Ceiling Joists..2_..-.rtl-------......._.._._..., Distance on Centers.......
a �... ------------------------------ Greatest Span.--------- - D
Size of Floor Joists---- •�X-�- -------------------------- Distance on Centers._.1c .---.----.--•------•------------- Greatest Span.--11 ' ---.-•-••---------------•-•- "
Size of Rafters----
----------------------------------- Distance on Centers..1`.--_- --------------------, Greatest Span--/41C
As This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
O� 111'A-rA9t1,gAb.Y �i //� all lot-lines and existing buildings.
APPROVED '**" - REAR LOT LINE
Two copies of plans and specifications shall CITY of ATLANTIC BEACH
be submitted with application. BUILDINC OFFICE
Inspections required. 1
1. When steel is in place and ready to pour footing. Date` � 5:.••�' ---- W p
2. When steel is in place and ready to pour columns and/or lintel. z z
3. When steel is in place and ready to pour beam. 7 v a
4. When framing is completed. E-4 % E-1
o
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered. q .�Z G�' A
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans nd specifications, which are a part hereof, and in accordance with the building
regulations of the Cit f lantic Beach. Q A&
Q
Signature of Builde A ... .--- ........ Address-,�o -- - -----A&----------
Signature of Owner—----- - ------ Address..........................•-----------.